| NPI | 1205378494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 055245-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 055245-23) |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2016-12-20 |